Individual
MS. ELLEN L SUELFLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
116024-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
2568-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44339300
—
WI
Enumeration date
08/24/2006
Last updated
02/13/2024
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